AMRE Supply - Customer Services [Enterprise Account Application]

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Customer Services / Enterprise Application

Enterprise Account Application

Please follow these two quick steps to get you on your way quickly!

* = Required Item

YOUR COMPANY INFORMATION

*Amount of Credit Requested:

*Registered Company Name:

*Contact Name:

*Address:

*City:

*Province:

*Postal Code:

*Phone:

*Fax:

Mailing Address:
(If different from above)

City:

Province:

Postal Code:

Phone:

Fax:

Email Address:

Website:

BUSINESS INFORMATION

*Nature of Business:

*Years in business:

*Is your business a:
(Please check)

	Corporation

	Partnership

	Sole Proprietorship

Please provide up to 3 names of Principles, Owners, or Partners

Name	Position	Address	Phone

Purchaser / Buyer	Phone	Are Purchase Orders Required?

Accounts Payable	Phone	Are Purchase Orders Required?

*Provincial Sales Tax #:

*Bank:

*Address:

*Phone:

*Bank Manager's Name:

(3) TRADE REFERENCES (at least 2)

*Name	*Address	*Phone	*Fax	*Email

TERMS & CONDITIONS

* I accept the following Terms and Conditions.

I wish to recieve monthly AMRE information and updates.